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目的通过对钙剂联合催产素的效果研究探索其在产后出血高危患者中的作用,最终能够为临床医学提供参考价值。方法选取达川区人民医院2015年6月—2016年6月收治的高危产妇192例,随机分成观察组和参照组,各96例。观察组产妇在宫口全开给予10%葡萄糖酸钙联合宫缩素治疗,参照组产妇于生产前服用米索前列醇联合宫缩素治疗。对比两组产妇产后2、24 h出血量,并观察比较两组产妇子宫收缩乏力性出血情况。结果产后2、24 h,观察组产妇出血量均少于参照组(P<0.05)。两组产妇实际产后血量>500 ml、宫颈乏力性出血发生率比较,差异无统计学意义(P>0.05);观察组产妇宫颈乏力性出血量>1 000 ml、宫颈乏力致休克发生率低于参照组(P<0.05)。结论钙剂联合催产素在产后出血高危产妇中的应用效果良好,可有效降低产妇产后出血量,也可降低宫缩乏力性出血、休克发生率。
Objective To explore the effect of calcium combined with oxytocin in patients with high risk of postpartum hemorrhage and finally provide reference value for clinical medicine. Methods 192 cases of high risk maternal women admitted to Dacheng District People’s Hospital from June 2015 to June 2016 were randomly divided into observation group and reference group, with 96 cases in each group. In the observation group, the maternal was given 10% calcium gluconate combined with orbital in the cervix. The reference group was treated with misoprostol and uterine decoction before the production. The bleeding volume was compared between the two groups at 2, 24 hours postpartum and the bleeding of uterine atony in the two groups was observed and compared. Results At 2 and 24 hours postpartum, the amount of maternal bleeding in the observation group was less than that in the reference group (P <0.05). The actual postpartum blood volume of both groups was> 500 ml, the incidence of cervical bleeding was no significant difference (P> 0.05). The observation group had less than 1 000 ml cervical bleeding, and the incidence of shock induced by cervical fatigue was low In the reference group (P <0.05). Conclusion Calcium combined with oxytocin has a good effect in high risk maternal postpartum hemorrhage, which can effectively reduce the amount of postpartum hemorrhage and reduce the incidence of uterine atony bleeding and shock.